4.5 Article

Pain in intensive care unit patients-A longitudinal study

Journal

NURSING OPEN
Volume 8, Issue 1, Pages 224-231

Publisher

WILEY
DOI: 10.1002/nop2.621

Keywords

critical care; intensive care units; pain; pain measurement

Categories

Funding

  1. Helse Sor-Ost RHF [2013026]

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This study assessed the occurrence of pain in ICU patients during their first 6 days and found that patients with the ability to self-report pain were more likely to experience pain. Multiple logistic regression models were used to analyze predictors associated with pain occurrence.
Aim: To assess occurrence of pain during the first 6 days of intensive care unit (ICU) stay and evaluate associations between occurrence of pain and selected patient-related variables. Design: A longitudinal study. Methods: Adult ICU patients from three units were included. Patients' pain was assessed with valid pain assessment tools every 8 hr during their first 6 days in ICU. Possible associations between occurrence of pain and selected patient-related variables were modelled using multiple logistic regression. Results: When pain was assessed regularly with pain assessment tools, 10% of patients were in pain at rest and 27% were in pain during turning. The proportions of patients who were in pain were significantly higher for patients able to self-report pain, compared with patients not able to self-report (p < .001). Several predictors were associated with being in pain. It is important to be aware of these predictors in order to improve pain management.

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